The Jackson Laboratory

Endometriosis

Endometriosis is a chronic, systemic disease affecting an estimated 1 in 10 female-born individuals around the world.

It occurs when tissue similar to the lining of the uterus (the endometrium) grows outside the uterus, leading to inflammation, scarring, pain and, in some cases, infertility. Despite its prevalence, endometriosis is often underdiagnosed and misunderstood. Symptoms vary widely—from debilitating pelvic pain to gastrointestinal issues—making early diagnosis and effective treatment a persistent challenge.


Spatial transcriptomic map of the human endometrium at the single-cell level
This colorful image shows a spatial transcriptomic map of the human endometrium at the single-cell level, with each color representing a different cell type or gene within the uterus’s lining. Credit: JAX Single Cell Biology Laboratory
What is endometriosis?

During a typical menstrual cycle, the endometrium thickens and sheds if pregnancy does not occur. In endometriosis, tissue resembling this lining grows outside the uterus and can be found throughout the body (including in ovaries, fallopian tubes, intestines or other organs).

More than a gynecological condition, endometriosis is a systemic disease that affects the entire body. It can trigger chronic inflammation, cause debilitating pain, disrupt normal organ function, and contribute to infertility.



Fast facts about endometriosis

    • Endometriosis affects an estimated 10% (190 million) of female-born individuals worldwide
    • It is a chronic disease with symptoms that may include severe menstrual pain, heavy menstrual bleeding; chronic pelvic pain (pain that does not go away when the menstrual cycle ends); infertility; bloating and nausea.
    • Endometriosis most commonly occurs in the pelvis, but some cases have been confirmed elsewhere in the body, including the abdomen and chest.
    • Endometriosis can impact sexual health, bowel and bladder function, and mental health, including depression and anxiety.
    • There is no known cure for endometriosis; treatment focuses on symptom management and reducing long-term impacts.

      Sources: World Health Organization, Frontiers in Public Health (2023), The Mayo Clinic

Why is endometriosis difficult to diagnose?

Symptoms of endometriosis can overlap with other conditions and vary significantly from person to person. In the majority of cases, it takes invasive surgery and a pathology report to definitively diagnose. As a result, diagnosis is often delayed for years, limiting access to early intervention and effective treatment.


Endometriosis Research at The Jackson Laboratory

Elise Courtois Ph.D., JAX Assistant Professor
Elise Courtois Ph.D., JAX Assistant Professor; Director of the Single Cell Biology Laboratory; and Co-director of EndoRISE.

Elise Courtois leads a pioneering research team at JAX focused on understanding the fundamental biology of endometriosis—why it spreads, how it causes pain, and what drives disease recurrence. Despite its prevalence, the causes of endometriosis remain poorly understood. The Courtois Lab is trying to change that.

Using cutting-edge technologies like 3D tissue modeling, single-cell sequencing, and spatial ‘omics, Courtois’ team is mapping how cells and molecular pathways respond to endometriosis lesions. By identifying key cellular and molecular mechanisms, this work lays the foundation for earlier diagnosis and more personalized, effective treatments for people living with endometriosis.

Courtois is also co-director of EndoRISE (Endometriosis Research, Innovation, Support, and Education),  which is  operated through a partnership between UConn Health and The Jackson Laboratory, with focus a focus in three main areas: public awareness, clinical education, and the administration of the endometriosis biorepository.

Learn more about EndoRISE

 

Transform Endometriosis Research through JAX

Join us in fueling life-changing discoveries and championing better futures for all those impacted by endometriosis. Support our quest to finally decode endometriosis — and bring hope to countless patients who deserve answers.

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